| NPI | 1194960872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR J KLIXBULL Owner/Director Of Physical Therapy 843-357-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5347) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2009-06-10 |